The Prevention of Falls Network Europe Consensus
Keywords:
- accidental falls;
- aged;
- fractures;
- consensus development;
- outcome measures
The
prevention of injury associated with falls in older people is a public
health target in many countries around the world. Although there is good
evidence that interventions such as multifactorial fall prevention and
individually prescribed exercise are effective in reducing falls, the
effect on serious injury rates is unclear.1,2
Historically, trials have not been adequately powered to detect injury
endpoints, and variations in case definition across trials have hindered
meta-analysis.1
It is possible that fall-prevention strategies have limited effect on falls that result in injuries or are ineffective in populations who are at a higher risk of injury.
Further research is required to determine whether fall-prevention interventions can reduce serious injuries.
It is possible that fall-prevention strategies have limited effect on falls that result in injuries or are ineffective in populations who are at a higher risk of injury.
Further research is required to determine whether fall-prevention interventions can reduce serious injuries.
Prevention
of Falls Network Europe (ProFaNE) is a collaborative project to reduce
the burden of fall injury in older people through excellence in research
and promotion of best practice (http://www.profane.eu.org).
The European Commission funds the network, which links clinicians,
members of the public, and researchers worldwide.
The aims are to identify major gaps in knowledge in fall injury prevention and to facilitate the collaboration necessary for large-scale clinical research activity, including clinical trials, comparative research, and prospective meta-analysis.
Work is being undertaken in a 4-year program. As a first step, the development of a common set of outcome definitions and measures for future trials or meta-analysis was considered.
The aims are to identify major gaps in knowledge in fall injury prevention and to facilitate the collaboration necessary for large-scale clinical research activity, including clinical trials, comparative research, and prospective meta-analysis.
Work is being undertaken in a 4-year program. As a first step, the development of a common set of outcome definitions and measures for future trials or meta-analysis was considered.
Quelle: http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2005.53455.x/abstract?deniedAccessCustomisedMessage=&userIsAuthenticated=true
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with specific fall risk factors (i.e., leg weakness, impaired gait or balance, previous falls) were randomly assigned to
a control group 
or to a 12-week group exercise program 
.
Exercise sessions (90 minutes, three times per week) focused on
increasing strength and endurance and improving mobility
and balance. Outcome measures included isokinetic
strength and endurance, five physical performance measures, and
self-reported
physical functioning, health perception, activity
level, and falls.